Technical Field
[0001] The present invention relates to recombinant Adeno-Associated Virus (AAV) vector
particles displaying high-affinity ligands for cell-type specific gene delivery. More
specifically, the present invention provides recombinant AAV vector particles and
methods for their construction and generation, which display high-affinity ligands
exemplified for cell-type specific designed ankyrin repeat proteins (DARPins) that
specifically transduce target cells or target tissues, which express the respective
target receptor, such as HER2/
neu-positive or CD4-positive cells.
Background of the invention
[0002] Virus-derived vectors have become one of the most promising gene delivery systems
for mammalian cells. Especially Adeno-Associated Virus (AAV) vector particles provide
an outstanding potential as gene transfer vectors and are thought to be best suited
for
in vivo gene delivery from the portfolio of gene transfer vectors (
Gao, G. et al., J. Virol., 2004, 6381-6388). The established features of AAV vector particles that distinguish this viral vector
from other vectors include stable long-term expression, broad host range, ability
to transduce proliferating and post-mitotic cells, high titers of AAV vectors produced
in tissue cultures, derivation from a nonpathogenic virus and low immunogenicity of
both wild type virus and vectors (
Kotin, R. M., Hum. Gene Ther., 1994, 793-801).
[0003] The AAV is a member of the genus Dependovirus, which lies in the
Parvoviridae (parvovirus family). An interest in this family of viruses has been stimulated because
of their potential use as gene transfer vectors (
Gao, G. et al., J. Virol., 2004, 6381-6388). From the portfolio of all different types of gene transfer vectors, AAV vectors
are thought to be best suited for
in vivo gene delivery. Due to their substantially smaller size as compared to lentiviral
vectors, they show much higher diffusion rates in tissue and can therefore, in principle,
transduce large areas of tissue upon local injection. Moreover, they do not integrate
the vector genome into the cellular genome and, therefore, are not prone to insertional
oncogenesis as observed with retro- and lentiviral vectors in clinical trials. Despite
their success as gene transfer vector system, however, vector design problems remain.
One major concern is the fact that following systemic application in mice or non-human
primates, AAV vector particles tend to accumulate in the liver, which limits efficient
transduction of other target tissues (
Gao, G. et al., J. Virol., 2004, 6381-6388). Furthermore, systemic overexpression of the transgene, e.g. cytokines, from liver
or other tissue, which were transduced by recombinant AAV vector particles (rAAV)
owning to its broad tropism, could have toxic effects. As further consequence of the
broad tropism, transduction efficacy of target organs is low and hence high vector
doses need to be applied. Furthermore, if the transgene product is toxic by itself
or can modify a prodrug to toxic metabolite, transduction of non-target cells, which
is a result of the promiscuous tropism, raises safety concerns as healthy cells become
eradicated. Although gene expression may be controlled by tissue-specific promoters,
vector particles can still enter non-target cells and induce e.g. cytotoxicity (
Mingozzi, F. & K. A. High, Nat. Rev. Genet., 12, 341-355). Consequently, since cell-type specific gene delivery is advantageous, e.g. for
delivery of a gene product to a tumor that is localized at a particular anatomical
site (but not, e.g. to surrounding non-cancerous tissue), for delivery of a gene product
to a diseased tissue (but not, e.g. to the surrounding healthy tissue), and for many
more applications including therapeutic applications as well as applications in basic
research, cell surface targeting technologies aiming to restrict vector entry and
gene delivery to specific cell-types are under development since 1993 (
Waehler, R. et al., Nat. Rev. Genet., 2007, 573-587).
[0004] Significant improvements of AAV vectors with respect to their specificity occurred
mainly by direct or indirect modification of the capsid, which represents the interface
to cellular receptors and antibodies and is represented by capsid proteins: VP1, VP2
and VP3, which interact together in a ratio of 1:1:10 to form a capsid of an icosahedral
symmetry (
Büning, H. et al., J. Gene Med., 2008, 10, 717-733). First efforts, focused on exploitation of alternative serotypes, provided a first
opportunity to improve gene transfer efficiencies to tissues, wherein pseudotyping,
i.e. cross-packaging of a genome of one serotype into the capsid of another serotype,
created infectious vectors with the tropism of the new capsid (
Davidson, B. L. et al., Proc. Natl. Acad. Sci. USA, 2000, 97, 3428-3432). However, despite the improvements in tropism achieved by pseudotyping, an increase
of specificity to a specific cell-type by this method remains impossible.
[0005] Moreover, the patent application
US 2006/0286545 A1 provides for a method of selecting a virus, which comprises a variant of a capsid
or envelope protein that alters tropism of the virus. This method comprises: (a) infecting
host cells with a pseudotyped viral particle from an AAV peptide library in which
random peptides are displayed within the viral capsid; (b) contacting target cells
with viral particles produced from the infected cells of step (a) at a multiplicity
of infection of less than 1; and (c) detecting successful infection of the target
cells, wherein successful infection indicates that the tropism of the virus is altered
such that it infects the target cell. However, although the results just described
demonstrated high transgene expression in specific cell-types, they do not rigorously
prove that high infection titers can be achieved.
[0006] Furthermore, the authors of
US 2009/0202490 A1 developed a recombinant AAV vector comprising mutant capsid proteins, wherein the
recombination was based on at least one amino acid substitution relative to the corresponding
parental AAV capsid protein. By introducing this mutation, such recombinant AAV vectors
exhibited one or more of the following properties which include altered, i.e. increased
or decreased heparin binding affinity relative to wild-type AAV and/or altered infectivity
of particular cell types, e.g. of cell types that are resistant to infection with
AAV. However, although such a patent application is related to problems including
limited tissue dispersion for AAV serotypes that employ heparan sulfate as the natural
receptor or poor infection of non-permissive cell types such as stem cells, and to
challenges with high efficiency targeting of gene delivery to selected cell populations,
there is no report on an absolutely specific gene transfer.
[0007] Thus, current methodology that depends on the direct or indirect modification of
capsid components by inserting or substituting at least one amino acid does not provide
an efficient and completely specific transduction of target cells or target tissues.
This may be due to the accessibility of cell-type specific receptors during selection
procedure using e.g. peptide libraries, the fact that the identity of target receptors
is unknown, and the rigid capsid structure so that re-targeting attempts so far relied
on small peptides, i.e. on peptides comprising 7-8 amino acids at the maximum. Such
small peptides, however, provide a limiting specificity only, which leads to a limiting
receptor affinity. Inserted at capsid protrusions, they conferred improved transduction
efficacy but only low-cell type selectivity.
Ried, M. U. et al. (J. Virol., 2002, 76, 4559-4566) admittedly disclosed the insertion of 34 amino acids plus linker sequences, showing
that this is the size that can be maximally inserted.
Problem of the invention
[0008] Thus, the problem of the present invention is to provide recombinant AAV vector particles
with the ability to display high-affinity ligands for cell-type specific gene delivery
in order to provide high cell-type selectivity or rather high targeting specificity.
Summary of the invention
[0009] The technical problem of the invention is solved by the subject-matter of independent
claims 1 and 13, wherein preferred embodiments are the subject-matter of the dependent
claims.
[0010] The inventors developed recombinant AAV vector particles displaying high-affinity
ligands, which can be used for cell-type specific gene delivery providing high cell-type
selectivity or rather high targeting specificity allowing restricted biodistribution
and safe gene transfer and/or delivery of genes or rather transgenes.
[0011] Their generation is mainly based on the modification of the AAV capsid protein VP2,
wherein its N-terminus serves as the platform to display a cell-type specific DARPin.
The DARPins of the present invention are designed ankyrin repeat proteins, which represent
high affinity multi-domain protein ligands with a molecular mass of about 14 kDa.
The binding interface is flanked by two capping repeats and comprises 50-200, preferably
100-120 amino acids. They show exceptional expression yields, stabilities and affinities
in the nanomolar range that direct recombinant AAV vector particles specifically to
the target cell or rather target tissue. Thus, the combination of AAV vector particles
with cell-type specific DARPins, which are specific for at least one surface receptor,
preferably for one surface receptor, that is expressed on the target cell or target
tissue, provides an improved re-targeting system for AAV vector particles that allows
cell-type specific gene delivery with high cell-type selectivity or rather high targeting
specificity and, thus, a re-targeting system for AAV vector particles that overcomes
the problems of the current methodology, which have been described above.
[0012] In detail, the present invention refers to a recombinant AAV vector particle, wherein
the differences to the AAV wild-type particle are based on the following features:
- (a) at least one packaged transgene, comprising a transgene that encodes for a therapeutically
active product and/or a transgene that encodes for a marker/reporter protein,
- (b) a mutated AAV capsid protein VP2, wherein the mutation is based on a cell-type
specific DARPin that is fused to the N-terminus of the AAV capsid protein VP2 ("DARPin-VP2
fusion protein"), wherein a removable His-tag is optionally fused to the N-terminal
end of the DARPin-VP2 fusion protein,
- (c) a mutated VP2-start codon, preferably by point mutation, and
- (d) a capsid, wherein the essential binding site for the natural receptor of the AAV
capsid proteins VP1, VP2 and VP3 is mutated.
[0013] Following, the methods for the construction and generation of the recombinant AAV
vector particles of the present invention are mainly based on a transfection method,
which requires the use of:
- (i) a vector plasmid comprising the at least one packaged transgene as described in
feature (a),
- (ii) a plasmid encoding the DARPin-VP2 fusion protein ("pDARPin-VP2"), wherein VP2
comprises the mutation in the VP2-start codon and in the essential binding site as
described in features (c) and (d), and wherein a removable His-tag is optionally fused
to the N-terminal end of the DARPin-VP2 fusion protein,
- (iii) an AAV helper plasmid, preferably "pRCVP2koA", encoding for AAV non-structural
proteins, preferably viral Rep proteins (preferably the non-structural Rep proteins
Rep78, Rep68, Rep52, Rep40) and AAP (assembly activating protein), and for the capsid
proteins VP1, VP2 and VP3, wherein the AAV helper plasmid comprises the mutation in
the VP2-start codon and mutations in the essential receptor binding site as described
in features (c) and (d),
- (iv) at least one adenovirus (Ad) helper plasmid, preferably "pXX6", encoding for
genes possessing Ad helper functions, preferably E2A, E4 and VA RNA genes.
Brief description of the figures
[0014] Figure 1 shows the incorporation and surface display of DARPin on recombinant AAV particles
depleted for natural receptor binding.
[0015] Figure 1A shows the plasmids used for generation of the recombinant AAV particles
showing the open reading frames for capsid proteins (cap ORF) only. In pRCVP2koA and
pDARPin-VP2, the VP2-start codon is mutated (labeled by asterisk) to prevent expression
of unmodified VP2. To abolish HSPG binding, R585 and R588 were substituted by alanine
in pDARPin-VP2 and pRCVP2koA (labeled by asterisk). The Ad helper plasmid pXX6 includes
a number of Ad genes, more specifically E2a, E4, and VA RNA genes that possess helper
functions, wherein the E4 gene, particularly open reading frame 6, is involved in
facilitating AAV DNA replication, and E2a and VA RNA act to enhance the viral mRNA
stability and efficiency of translation (
Xiao, X. et al., J. Virol., 1998, 72, 2224-2232). Reporter and suicide genes are under control of the SSFV promoter. right: Schematic
illustration of the up to five DARPin molecules (red) extruding from pores at the
five-fold symmetry axis of the AAV capsid. Illustration was created using Pymol and
PDB files 1LP3 (
Xie, Q. et al., Proc. Natl. Acad. Sci. USA, 2002, 99, 10405-10410) and 2XEE (
Kramer, M. A. et al., J. Mol. Biol., 2010, 404, 381-391).
[0016] Figure 1B shows that the incorporation of DARPin does not interfere with the packaging
efficiency. AAV particles encoding either EGFP (enhanced green fluorescent protein)
or luc-2 (luciferase) were analyzed by qPCR and ELISA to determine the genomic particle
and the capsid titers, respectively. Packaging efficiency (genomic-to-capsid ratio)
≤ 50 indicates a wild-type phenotype (dotted line;
Kern, A. et al., J. Virol., 2003, 77, 11072-11081). Genomic particle titers were determined by qPCR using the transgene specific primers:
GFP-for 5'-GCTACCCCGACCACATGAAG-3',
GFP-rev 5'-GTCCATGCCGAGAGTGATCC-3',
luc-for 5'-TTCGGCTGGCAGAAGCTATG-3',
luc-rev 5'-GCTCGCGCTCGTTGTAGATG-3',
HSV-TK-for 5'-GCAGCAAGAAGCCACGGAAG-3',
HSV-TK-rev 5'-CCAGCAGTTGCGTGGTGGTG-3'.
[0018] Figure 1C shows the Western Blot analysis of iodixanol purified AAV particles. In
accordance to previous observations, the R585A and R588A mutations lead to a reduced
mobility of AAV capsid proteins in SDS page (
Boucas, J. et al., J. Gene Med., 2009, 11, 1103-1113).
[0019] Figure 1D shows the surface display of DARPin assayed by ELISA. Her2-AAV particles
containing a myc-tag fused to the DARPin-VP2 (Her2-AAV
myc) were bound to ELISA-plates coated with a myc-tag specific antibody. Bound vector
particles were quantified using the AAV-2 capsid specific antibody A20; N=3 experiments;
mean ± SD.
[0020] Figure 1E illustrates the tumor targeting using Her2-AAV and AAV-2 particles. Tumor
tissue and the indicated organs were explanted from Her2-AAV and AAV-2-injected mice
shown in Fig. 2a. Both vector particles encoded for luciferase. Immediately after
isolation, samples were lysed and homogenized. Luciferase activities were quantified
and normalized to protein content. The relative tumor targeting was calculated as
ratio of the luciferase activity in tumor and the luciferase activity in the indicated
organ. N=4; mean ± s.e.m. (standard error of the mean).
[0021] Figure 2 shows the specificity of gene transfer
in vitro.
[0022] Figure 2A shows CHO-K1 or CHO-Her2-k6 cells, which were incubated with 60,000 genomic
particles per cell (GOI) of AAV-2 and Her2-AAV particles encoding for EGFP, respectively,
in the absence or presence of heparin (425 IU/ml). The percentage of EGFP-positive
cells was quantified by flow cytometry 60 hours post transduction. Values are expressed
relative to the highest transduction efficiency for each vector. N=3 experiments;
mean ± SD.
[0023] Figure 2B shows AAV-2 particles (GOI=3,000) or Her2-AAV particles (GOI=90,000), which
were incubated for one hour at 4°C with increasing amounts of the entire HER2/
neu receptor extracellular domain. Following incubation, SK-OV-3 cells were transduced
and analyzed for EGFP expression. Data are normalized to the transduction efficiency
measured without pre-incubation with HER2/
neu domain. N=3 experiments; mean +/- SD.
[0024] Figure 2C shows that Her2-AAV particles deliver transgenes specifically to HER2/
neu positive cells. Therefore, CHO-Her2-k6 and CHO-K1 cells were mixed in different ratios
and transduced with Her2-AAV particles (GOI=300,000) or AAV-2 particles (GOI=10,000)
or left untreated (control). After 60 hours, the cells were analyzed as described
previously (
Münch, R. C. et al., Mol. Ther., 2011, 19, 686-693). Percentage of all measured cells for each gate is indicated in black. Values in
light grey and dark grey express the percentage of transduced, HER2/
neu-positive or -negative cells.
[0025] Figure 3 shows the histological analysis of tumor tissue. Tumor nodules from SK-OV-3 injection
sites of mice treated with AAV-2 particles, Her2-AAV particles or GCV only were explanted.
Histological analysis of isolated tissues confirmed the presence of SK-OV-3 derived
tumors. Representative slices fixed in 4% formalin are shown. Scale bars represent
100 µm.
[0026] Figure 4 illustrates that the Her2-AAV particle mediated suicide gene delivery prevents severe
liver toxicity. Therefore, SK-OV-3 cell derived tumor bearing mice were intravenously
administered with 8x10
11 genome copies per animal of AAV-2 particles (N=11), Her2-AAV particles (N=11) or
an equal volume of phosphate buffered saline (PBS; N=9) on day 1. GCV-treatment (100
mg/kg body weight) was carried out daily from day 3 to day 9. Representative liver
histologies of treated mice are shown. Total liver tissue from mice of each group
was fixed in 4% formalin for six days. Fixed tissue was paraffin embedded and 3 µm
slices were haematoxylin and eosin stained. Representative sections of four mice from
each group are shown. Severe central lobular necrosis (arrow heads) was only detectable
in mice of the AAV-2 group that had to be sacrificed due to weight loss before completion
of the observation period. Scale bars represent 200 µm.
[0027] Figure 5 illustrates that Her2-AAV particles target HER2/
neu-positive tumors
in vivo and reduce tumor growth without inducing liver toxicity.
[0028] Figure 5A shows the
in vivo imaging of nude mice carrying subcutaneously growing SK-OV-3 derived tumors (arrow).
Data were monitored one week after intravenous injection of AAV-2 particles or Her2-AAV
particles (GOI=2x10
10, respectively) transferring the luc-2 expression cassette. Luciferase signal intensity
is expressed as photons/second/square centimeter/steradian (p/sec/cm
2/sr). Boxes show a magnification of the tumor cell injection site.
[0029] Figure 5B shows the biodistribution of AAV particles. Immediately after imaging,
mice were sacrificed, indicated organs were isolated and the luciferase gene copies
were quantified by qPCR. The targeting coefficient was calculated by normalizing the
copy number in tumor tissue to that of the organ indicated. N=4; mean ± s.e.m.
[0030] Figure 5C shows the analysis of SK-OV-3 tumor bearing mice, which received a single
intravenous injection of HSV-TK transferring AAV-2 particles or Her2-AAV particles
(GOI=8x10
11, respectively) or PBS, followed by GCV treatment for seven consecutive days. Tumor
volume was determined at the indicated time points. AAV-2: N=6, Her2-AAV: N=5, PBS:
N=4; mean ± SEM, asterisks indicate p < 0.005 (unpaired t-test).
[0031] Figure 5D shows the serum alanine transaminase levels (ALT) of SK-OV-3 cell derived
tumor bearing mice, which were intravenously administered with 8x10
11 genome copies per animal of AAV-2 (N=11), Her2-AAV (N=11) or an equal volume of PBS
(N=9) on day 1. GCV-treatment (100 mg/kg body weight) was carried out daily from day
3 to day 9. In total seven mice of the AAV-2 group had to be sacrificed due to dramatic
weight loss. All other mice were sacrificed on day 27. The upper and lower limits
of normal are indicated by dotted lines.
[0032] Figure 5E shows representative liver histology slices of an AAV-2- and a Her2-AAV-particle
treated mouse. Vessels are indicated by black arrows, areas of central lobular necrosis
are indicated by black arrow heads and the hypertrophic state with karyorrhexis by
white arrow heads. Scale bar represents 100 µm.
[0033] Figure 6 shows the injection of AAV-2
ΔHSPG in comparison to Her2-AAV preparations in SK-OV-3 bearing mice. In AAV-2
ΔHSPG treated animals, luciferase signals were confined to the chest region, whereas Her2-AAV
mediated signals again were located at the tumor site. Luciferase signal intensity
is expressed as photons/second/square centimeter/steradian (p/sec/cm
2/sr).
[0034] Figure 7 shows the column purification of Her2-AAV. (a) Iodixanol gradient purified Her2-AAV
His preparations were purified using His-Trap-HP-columns (GE Healthcare, Munich, Germany).
Step gradient elution (20-500 mM imidazole, 20 mM sodium phosphate and 0.5 M NaCl
pH 7.4) was used to elute Her2-AAV
His particles. AAV particles in every fraction were identified using dot blot analysis
and the AAV capsid protein specific antibody B1. The blue box comprises the loading
and the washing fractions; the green box the elution fractions. (b) Loading, wash,
and elution fractions were analyzed by Western Blot.
[0035] Figure 8 shows selective HSV-TK delivery to HER2/
neu positive cell lines. CHO-Her2-k6, SK-OV-3 and CHO-K1 cells were transduced with HSV-TK
transferring AAV-2 (GOI=10,000) or Her2-AAV (GOI=300,000) or left untransduced (control).
Two days after transduction, cells were incubated with the indicated concentrations
of ganciclovir (GCV) for five days. Cell viability was subsequently analyzed using
the MTT assay (Roche, Mannheim, Germany). Values were normalized to the cell viability
in absence of GCV. Mean values form three independent experiments with SD are shown.
[0036] Figure 9 shows that severe liver toxicity induced by suicide gene approaches can be avoided
by cell entry targeting. (A) SK-OV-3 cell derived tumor bearing mice were intravenously
administered with 8x10
11 genome copies per animal of AAV-2 (N=11), Her2-AAV (N=11) or an equal volume of PBS
(N=9) on day 1. GCV-treatment (100 mg/kg body weight) was carried out daily from day
3 to day 9. More than half of the AAV-2 treated mice had to be sacrificed due to dramatic
weight loss during the GCV treatment phase. Mock treated animals had to be sacrificed
around day 40 due to high tumor burden, (B) AAV-2 treated mice no. 1, 2 and 3 were
sacrificed on day 4, 5 and 8 after start of GCV treatment due to dramatic weight loss
and revealed severe central lobular necrosis (arrow heads). Representative liver histology
slices of GCV treated mice are shown. Total liver tissue was fixed in 4% formalin
for six days. Fixed tissue was paraffin embedded and 3 µm slices were haematoxylin
and eosin stained, Scale bars represent 200 µm.
[0037] Figure 10 shows that CD4-AAV selectively transduces CD4-positive T-cells. CD4-positive (A3.01)
and CD4-negative (A2.01, Raji, Jurkat) lymphocyte cell lines were transduced with
CD4-AAV or AAV-2 (GOI=300,000, respectively). 48 hours later, cells were analyzed
by fluorescence microscopy. Scale bars represent 200 µm,
Detailed description of the invention
[0038] The inventors developed recombinant AAV vector particles displaying high-affinity
ligands, which can be used for cell-type specific gene delivery during therapeutic
applications and applications in basic research since they provide high-cell type
selectivity or rather high targeting specificity allowing restricted biodistribution
and safe gene transfer and/or delivery of genes or rather transgenes.
[0039] The term "gene transfer" or "delivery of genes" according to the present invention
is attempted by the use of viral methods, since viruses have developed efficient strategies
to deliver inherent DNA or RNA to the host cells ("transduction"), so as to transform
the host and promote expression (e.g. transcription and translation) of the introduced
sequence. To date, several human or animal viruses are modified in order to be used
as such vehicles for transduction, i.e. as "vectors" or "vector particles", including
Adenovirus, Adeno-Associated Virus (AAV) and Retrovirus, wherein the present invention
is limited to the use of AAV. Thus, according to the present invention, the term "AAV"
refers to the Adeno-Associated Virus itself or to derivatives thereof including recombinant
AAV vector particles, wherein the term "AAV wild-type particle" designates the Adeno-Associated
Virus as it occurs in nature. Furthermore, as used herein, the term "AAV" or rather
"recombinant AAV vector particle" and "AAV wild-type particle" includes the twelve
different serotypes, which have been isolated from human (AAV of serotypes 2, 3, 5,
6, and 9) and non-human primate samples (AAV of serotypes 1, 4, 7, 8, 10), and AAV
of serotypes 11 and 12. Thus, the term e.g. "AAV of human serotype 2" or "AAV of serotype
2" (rather than "AAV-2" or "AAV-2 particle") refers to a wild-type Adeno-Associated
Virus of serotype 2 that does not comprise any recombination. The present invention
is not limited to an AAV vector particle of any specific serotype, however, can be
exploited for all human and non-human AAV serotypes, preferably for the human serotypes,
more preferably for AAV of human serotypes 2, 5 and 8, most preferably for AAV of
human serotype 2, wherein the "recombinant AAV vector particle" and the "AAV wild-type
particle" correspond with each other in their serotype if they co-occur.
[0040] In one embodiment of the present invention, the present invention refers to a recombinant
AAV vector particle (or rather "DARPin-proficient particle"), wherein the differences
to the AAV wild-type particle are based on features (a) to (d) as mentioned above,
wherein in another embodiment of the present invention, the differences to the AAV
wild-type particle are based on feature (a) only. In the latter case, the recombinant
AAV vector particle comprises an AAV-wild-type capsid and, thus, is designated as
"recombinant AAV vector particle negative control". Since such negative control preferably
comprises the AAV-wild-type capsid of AAV of serotype 2, it is also designated as
"AAV-2" or as "AAV-2 particle" (rather than "AAV of human serotype 2" or "AAV of serotype
2").
[0041] Thus, the differences of the "recombinant AAV vector particle" to the AAV wild-type
particle are initially based on a recombination, wherein the term "recombination"
as used in the present invention means that the recombinant AAV vector particle and
the recombinant AAV vector particle negative control comprises at least one heterologous
polynucleotide, i.e. at least one polynucleotide other than the wild-type AAV genome,
such as a packaged gene or rather transgene to be delivered to a cell, preferably
to a mammalian cell (see feature (a)). In this context, the term "at least one packaged
transgene" comprises a packaged transgene that encodes for a therapeutic gene and/or
a packaged transgene that encodes for a marker/reporter gene, i.e. a packaged transgene
that encodes for a therapeutically active product and/or a packaged transgene that
encodes for a marker/reporter protein.
[0042] The "transgene" according to the present invention is a gene or genetic material
that has been transferred from one organism to another. In more detail, the term "transgene"
as used herein describes a segment of a DNA containing a gene sequence that has been
isolated from one organism and is introduced into a different organism by the gene
transfer methods as described above. This non-native segment of DNA of the present
invention may retain the ability to produce RNA or protein in the transgenic organism.
In practical terms, according to the present invention, a transgene can be either
a cDNA (complementary DNA) segment, which is a copy of mRNA (messenger RNA), or the
gene itself. Preferably, the cDNA of the present invention has been processed to remove
introns and more preferably, does not include the regulatory signals that are embedded
around and in the gene, wherein the term "regulatory signals" refers to transcriptional
regulatory sequences, such as promoters and enhancers.
[0043] In a preferred embodiment, the transgene is a gene that is to be transduced into
and expressed by the targeted cell. Preferably, the transgene is a therapeutic gene,
i.e. a transgene encoding for a therapeutically active product, more preferably for
a desired antibody gene or fragment thereof; a gene encoding an apoptosis-inducing
protein, such as a suicide gene; a gene encoding an anti-apoptosis protein; a gene
encoding a cytotoxic protein; a gene encoding a cytostatic protein; a tumor suppressor
gene; an antibiotic resistance gene; a gene encoding siRNA; a HIV-inhibiting gene
such as a gene encoding C peptides, which are efficient inhibitors of HIV-1 entry,
or encoding shRNA for proteases or for HIV co-receptors; a gene encoding an angiogenic
factor; a gene encoding a neuro-protective factor; a gene encoding a viral or bacterial
antigen; a gene encoding an anti-viral protein; a gene encoding a tumoral antigen
or rather tumor associated antigen; a gene encoding a cytokine, such as interferon,
interleukin, colony-stimulating factor, tumor necrosis factor and chemokine; or a
gene encoding a functional copy of a defective or mutated gene in a patient suffering
from an inherited disease, such as from an inherited disease that is controlled by
a single pair of genes ("monogenetic" or "monogenic disease"). The term "monogenetic
disease" or "monogenic disease" includes but is not limited to diseases such as SCID
(severe combined immunodeficiency), congenital disease, cystic fibrosis, Gaucher's
disease, Huntington's disease, dysostosis, Hurler's disease, neurofibromatosis, sickle-cell
anemia, Tay-Sachs disease, thalassemia, familial hypercholesterolemia, and fragile
X syndrome.
[0044] In particular, the "suicide gene" will cause a cell to kill itself through apoptosis,
wherein the suicide gene is selected from the group consisting of herpes simplex virus
thymidine kinase (HSV-TK), which converts ganciclovir (GCV) into cytotoxic compounds,
Escherichia coli cytosine deaminase, which allows the formation of a cytotoxic chemotherapeutic agent
from a non-toxic precursor, Varicella-zoster virus thymidine kinase or deoxycytidine
kinase. Thus, in another embodiment of the present invention, cell-type specific gene
delivery by using the recombinant AAV particles of the present invention requires
the additional administration of compounds that are converted by suicide gene products
into cytotoxic compounds, such as treatment with GCV that is converted by HSV-TK.
Furthermore, the "tumor suppressor gene" protects a cell from one step on the path
to cancer, wherein the tumor suppressor gene is selected from the group consisting
of p16, p27, p53, Rb1 (retinoblastoma 1 gene), PTEN, VHL, APC (adenomatous polyposis
coli gene), CD95 (cluster of differentiation 95 gene), ST5 (suppression of tumorigenicity
5 gene), YPEL3, ST7 (suppressor of tumorigenicity 7 gene), and ST14 (suppressor of
tumorigenicity 14 gene).
[0045] On the other hand, the term "transgene" of the present invention may additionally
refer to a "marker/reporter gene" that is packaged in addition to or instead of the
therapeutic gene ("and/or") in order to monitor
in vivo and
in vitro transduction and/or expression of the transgene. However, according to the present
invention, a "marker/reporter gene" may be optionally used in applications of basic
research only but not in therapeutic applications.
[0046] In particular, the term "marker/reporter gene" refers to the coding sequence or rather
to the gene encoding for a fluorescent protein or an oxidative enzyme, in order to
visualize the infection, i.e. to monitor successful transduction of the target cell
or target tissue based on the expression of the marker/reporter gene. Preferred fluorescent
proteins are the green fluorescent protein (GFP) or derivatives thereof, wherein such
derivatives are selected from the group consisting of the 25-kDa enhanced GFP (EGFP),
blue fluorescent protein derivatives (e.g. EBFP, EBFP2, Azurite, or mKala-ma1), cyan
fluorescent protein derivatives (e.g. ECFP, Cerulean, or CyPet) and yellow fluorescent
protein derivatives (e.g. YFP, Citrine, Venus, or YPet), wherein EGFP is the most
preferred derivative. A preferred oxidative enzyme is the firefly luciferase.
[0047] The transgene, i.e. the therapeutic and/or marker/reporter gene of the present invention
is packaged into the recombinant AAV vector particle, more specifically, is inserted
into a "vector plasmid". In the case that a therapeutic gene and a marker/reporter
gene is packaged into the recombinant AAV vector particle, the therapeutic gene and
the marker/reporter gene can be inserted into the same vector plasmid. In a preferred
embodiment of the present invention, the respective coding sequences are under the
control of a promoter, preferably under the control of the spleen focus forming virus
(SFFV) promoter, wherein the promoter-gene-construct is framed by repetitive sequences,
such as inverted terminal repeats (ITRs), which serve as packaging signals (Fig. 1
a).
[0048] Furthermore, the differences of the "recombinant AAV vector particle" to the AAV
wild-type particle are based on the mutation of the AAV capsid protein VP2 in order
to allow cell-type specific gene delivery, wherein the mutation is based on a cell-type
specific DARPin that is fused to the N-terminus of the AAV capsid protein VP2 ("DARPin-VP2
fusion protein" or "DARPin-VP2 fusion construct"). In particular, the term "cell-type
specific DARPin" refers to designed ankyrin repeat proteins, that are specific for
at least one surface receptor, preferably one surface receptor, that is expressed
on the target cell or target tissue (see feature (b)).
[0049] In general, ankyrin repeat proteins are built from a single structural motif, which
is assembled into a protein domain. Due to the relatively high sequence homology within
these ankyrin repeats, a consensus sequence module may be deduced from the natural
ankyrin repeat proteins, identifying putative structure-determining framework residues
and interaction-mediating binding residues. A synthetic consensus repeat module of
the ankyrin repeat protein family may be assembled into complex libraries of designed
ankyrin repeat proteins, from which binding proteins may be isolated that show high
expression yields, stabilities and affinities in the nanomolar range (
Zahnd, C. et al., J. Mol. Biol., 2007, 369, 1015-1028).
[0050] Thus, the DARPins according to the present invention are high affinity multi-domain
protein ligands with a molecular mass of about 14 kDa. The binding interface is flanked
by two capping repeats and comprises 50-200, preferably 100-120 amino acids. Furthermore,
they are characterized by high expression yields, which range from 100-300 mg/l soluble
protein, preferably 200 mg/l soluble protein and provide a high thermodynamic stability,
preferably 5-25 kcal/mol, more preferably 9.5-21 kcal/mol. They do not contain cysteines
so that disulfide bonds are absent. Moreover, they are characterized by low nanomolar
affinities along with high cell-type selectivity in order to avoid reactions with
non-target cells or tissues, wherein the association rates are in the typical range
of protein-protein interactions (preferably 10
5-10
6 M
-1s
-1) and the dissociation rates are in the range of 10
-2 to 2·10
-3 s
-1. Up to now, DARPins have already been used as targeting domain, i.e. for pseudotyping
of viral vectors, however, only in the combination with lentiviral vector particles
(
EP 1 975 239 A1 and
Münch, R. C., Mol. Ther., 2011, 19, 686-693). The combination of DARPins with AAV vector particles, such as disclosed in the
present invention, has not been described in the prior art and provides the following
advantages with regard to the combination with lentiviral vecor particles: Due to
their substantially smaller size as compared to lentiviral vector particles, AAV vector
particles show much higher diffusion rates in tissue and therefore possess the ability
to transduce large areas of tissue upon local injection. Moreover, AAV vector particles
do not integrate the transfer vector into the cellular genome and, therefore, are
not prone to insertional oncogenesis as observed with retro- and lentiviral vectors
in clinical trials. Furthermore, it is expected that AAV vector particles are able
to cross the blood-brain barrier, which would result in a broader application than
observed for lentiviral vector particles. Due to their lower immunogenicity as compared
to lentiviral vector particles and the possibility to transfer the system of the present
invention to other AAV serotypes, the application of AAV vector particles is broader
than of lentiviral vector particles. Thus, the cell-type specific DARPin of the present
invention is specific for at least one surface receptor, preferably for one surface
receptor that is expressed on the target cell or target tissue.
[0051] Only the igem team Freiburg recently suggested a recombinant, modularized, BioBrick-compatible
AAV "Virus Construction Kit" for therapeutic application (Virus Construction Kit -
The Manual, Freiburg Bioware igEM 2010, p.1-218). In such kit, AAV viral particles
have been created with the surface exposed DARPin E_01, wherein the AAV genome was
converted to BioBrick format, the targeting peptides were fused to the N-terminus
of VP2, the essential natural receptor binding site was knocked-out, and 100% of the
VP2-start codon was replaced by mutation, wherein the igem team Freiburg inserted
the mutation at the same position but used another codon for the inserted alanine.
However, as compared to the invention of the present application, the igem team Freiburg
did not show recombinant AAV vector particles, which display high-affinity ligands
exemplified for cell-type specific DARPin that specifically transduce target cells
or target tissues, which express the respective target receptor. Furthermore, the
igem team Freiburg fused the targeting peptide via a linker to the VP2 protein and
did not purify the AAV vector particles by using an iodixanol gradient and/or a His-tag,
wherein these differences may be the reason that the igem team Freiburg observed an
incomplete restriction of AAV vector tropism only and transduction rates that were
only slightly above the detection limit. Based on the low transduction efficacy achieved
by the igem team Freiburg, it is not surprising that they did not show that their
AAV vector particles can be used in combination with a transgene encoding e.g. a therapeutically
active product (in contrast to the results of the present invention).
[0052] Furthermore, owning to the lack of purification, the igem team Freiburg even formally
missed to proof that indeed particles displaying DARPin ligands have been formed (in
contrast to results of the present invention). In addition, the igem team Freiburg
did not show that DARPins are accessible on the viral capsid and that DARPin as DARPin-VP2
fusion protein mediates selective cell transduction (in contrast to results of the
present invention). The present invention is further distinguished from the invention
of the igem team Freiburg, as the present invention clearly shows the capability of
DARPin-tagged viral vectors to transduce receptor-positive cells
in vivo following systemic application, efficacy and specificity
in vivo and
ex vivo and the ability to purify the tagged particles by affinity chromatography.
[0053] The cell-type specific DARPins of the present invention, which are specific for at
least one surface receptor, preferably for one surface receptor that is expressed
on the target cell or target tissue, are displayed by the AAV capsid protein, which
means the AAV capsid protein VP2 is modified, wherein its N-terminal region or rather
N-terminus serves as the platform to display DARPin.
[0054] In a preferable embodiment of the present invention, the cell-type specific DARPin
is specific for a single surface receptor that is expressed on the target cells or
target tissues. Preferably, the DARPin is specific for HER2/
neu, a receptor tyrosine kinase that is over-expressed on human cancer cells, preferably
DARPin 9.29, or for human CD4, a co-receptor that assists the T cell receptor with
an antigen-presenting cell, preferably DARPin 55.2 (see below).
[0055] Moreover, the differences of the "recombinant AAV vector particle" of the present
invention to the AAV wild-type particle are based on the mutation of the native VP2-start
codon in order to avoid expression of native VP2 by deactivation the transcription
of the VP2-gene (see feature (c)). Preferably, the mutation is a mutation that results
in a functional deletion. More preferably, the mutation does not change the reading
frame, preferably a point mutation, more preferably a point mutation in the unusual
start codon ACG to ACC.
[0056] Furthermore, the differences of the "recombinant AAV vector particle" of the present
invention to the AAV wild-type particle are based on a capsid, wherein the essential
binding site for the natural receptor of the AAV capsid proteins VP1, VP2 and VP3
is mutated (see feature (d)). As used herein, the term "natural receptor" refers,
for example, to heparan sulfate proteoglycan (HSPG), which has been shown to be the
primary cellular receptor for AAV of serotype 2; to N-linked sialic acid containing
glycans, which have been shown to be the primary cellular receptor for AAV of serotypes
1, 5 and 6; to O-linked sialic acid containing glycans, which has been shown to be
the primary cellular receptor for AAV of serotype 4 and 9; to αVβ5 integrin, α5β1
integrin, CD9, and hepatocyte growth factor receptor, which act as secondary receptors
or rather co-receptors for AAV of serotype 2; to basic fibroblast growth factor receptor
and 37/67 kDa laminin receptor (LamR), which act as secondary receptors or rather
co-receptors for AAV of serotypes 2, 3, 8, and 9; and/or to the platelet derived growth
factor receptor (PDGFR), which act as secondary receptors or rather co-receptors for
serotype AAV-5.
[0057] The term "essential binding site" refers to at least two amino acid residues in the
natural receptor binding site, i.e. in the common VP3 region of each capsid protein,
which is "common", since the regions encoding the VP1 and VP2 proteins represent N-terminal
extensions of the region encoding the VP3 protein. Thus, the reading frames of the
regions encoding VP1, VP2 and VP3 are overlapping, so that the mutation in the essential
natural receptor binding site is present in all of the three capsid proteins within
their common VP3 region. In the case of AAV of serotype 2, the primary receptor binding
motif is constituted by five positively charged amino acid residues located in the
common VP3 region of each capsid protein. Thus, in a preferred embodiment, VP1, VP2
and VP3 of AAV of serotype 2 are mutated at positions 585 and/or 588, respectively,
more preferably by the substitutions R585A and/or R588A, since these residues represent
the main or rather essential residues involved in HSPG-binding (Fig. 1). Following,
a mutation at the sites mentioned above leads to a de-targeting of the AAV vector
from its natural target cells or tissues, e.g. from liver after systemic application.
[0058] Corresponding positions to position 585 of AAV of serotype 2 is position 586 of AAV
of serotypes 1, 3, 4 and 5, and the corresponding position to position 588 of AAV
of serotype 2 is position 590 of AAV of serotypes 1, 3, 4 and 5. Thus, using other
serotypes than serotype 2, the term "essential binding site" may refer to other positions
than 585 and/or 588.
[0059] Such recombinant AAV vector particles of the present invention can be used for applications
in basic research and therapeutic applications. In particular, the term "basic research"
of the present invention refers to research that is carried out to increase understanding
of fundamental principles and is not intended to yield immediate commercial benefits,
wherein the term "therapeutic applications" of the present invention is based on the
use of the recombinant AAV vector particles for transducing a specific target cell
or target tissue with a gene or rather transgene product of a desired protein that,
if expressed in the target cell or target tissue, leads to the prevention or the treatment
of a particular medical condition.
[0060] Such "target cells" or "target tissues" of the present invention are characterized
by the fact that they contain the surface receptor for the respectively used DARPin,
i.e. can be described as "receptor-positive cells" or "receptor-positive tissues".
Preferably, the DARPin is specific for HER2/
neu, a receptor tyrosine kinase that is over-expressed on human cancer cells, preferably
DARPin 9.29, or for human CD4, a co-receptor that assists the T cell receptor with
an antigen-presenting cell, preferably DARPin 55.2. Thus in one preferred embodiment
of the present invention, the HER2/
neu-specific DARPin (preferably DARPin 9.29) allows the therapy and/or diagnosis of HER2/
neu-positive tumors and/or the labeling of HER2/
neu-positive tumor cells and in another preferred embodiment, the CD4-specific DARPin
(preferably DARPin 55.2) allows the therapy and/or diagnosis of the human immunodeficiency
virus (HIV).
[0061] In more detail, the term "HER2/
neu" generally refers to an epidermal growth factor, more specifically to a type-I receptor
tyrosine kinase, which is highly expressed on breast, ovarian, colon and pancreatic
cancer cells but shows low level or no expression on all normal human tissue. In total,
six DARPins exhibiting distinct affinities for HER2/
neu are known: DARPin 9.29, 9.26, 9.16, 9.01, H14R, and G3 (
Steiner, D. et al., J. Mol. Biol., 2008, 382, 1211-1227;
Münch, R. C. et al., Mol. Ther., 2011, 19, 686-693). Thus, as used herein, the term "HER2/
neu-specific DARPin" refers to DARPin 9.29, 9.26, 9.16, 9.01, H14R, or G3, preferably
to DARPin 9.29, wherein in one preferred embodiment of the present invention, the
recombinant AAV vector particles comprise a HER2/
neu-specific DARPin as targeting domain ("Her2-AAV", AAV-Her2" or "Her2-AAV particles).
Therefore, Her2-AAV particles are re-targeted to HER2/
neu-positive tumor cells, wherein in a more preferred embodiment, the recombinant AAV
vector particle is re-targeted to HER2/
neu-positive breast, ovarian, colon or pancreatic cancer cells. For example, Her2-AAV
particles are re-targeted to the Chinese hamster ovary cell lines CHO-Her2-k6, CHO-Her2-k7,
CHO-Her2-K13 or to the fibrosarcoma cell line HT1080, which stably express HER2/
neu, to the ovarian cancer cell line SK-OV-3 naturally over-expressing HER2/
neu (
Münch, R.C. et al., Mol. Ther., 2011, 19, 686-693), to the human breast carcinoma or rather adenocarcininoma cell lines BT-474, SK-BR3,
MDA-MB-361 or MDA-MB-453.
[0062] Moreover, the term "CD4" generally refers to the cluster of differentiation 4, a
glycoprotein that is expressed on the surface of T helper cells, monocytes, macrophages,
and dendritic cells. With regard to HIV, HIV infection leads to a progressive reduction
in the number of T cells expressing CD4. HIV-1 uses CD4 to gain entry into host T-cells
and achieves this by binding of the viral envelope protein known as gp120 to CD4.
The binding to CD4 creates a shift in the conformation of gp120 allowing HIV-1 to
bind to a co-receptor expressed on the host cell. These co-receptors are chemokine
receptors CCR5 or CXCR4, wherein which of these co-receptor is used during infection
is dependent on whether the virus is infecting a macrophage or T-helper cell. Following
a structural change in another viral protein (gp41), HIV inserts a fusion peptide
into the host cell that allows the outer membrane of the virus to fuse with the cell
membrane (
Kwong, P. D. et al., Nature, 393, 648-659). In total, six different DARPins exhibiting distinct affinities for CD4 are known:
DARPin 3.1, 23.2, 27.2, 29.2, 55.2, and 57.2 (
Schweizer, A. et al., PLoS Pathog., 2008, 4, e1000109).
[0063] Thus, as used herein, the term "CD4-specific DARPin" refers to DARPin 3.1, 23.2,
27.2, 29.2, 55.2, or 57.2, preferably to DARPin 55.2, wherein in one preferred embodiment
of the present invention, the recombinant AAV vector particles comprise a CD4-specific
DARPin as targeting domain ("CD4-AAV", "AAV-CD4", or "CD4-AAV particles"). Therefore,
according to the present invention, CD4-AAV particles are re-targeted to CD4-positive
cells, for example to T-lymphocytes expressing CD4, i.e. to CD4-positive lymphocytes,
preferably to JM, CCRF, CEM, U937, HL60, and A3.01 T cells, more preferably A3.01
T cells and, thus, can be used for therapy and/or diagnosis of HIV. However, such
recombinant AAV vector particle can be also used for therapy and/or diagnosis of neoplasms
that derive from T helper cells; for therapy and/or diagnosis of autoimmune diseases,
such as vitiligo and type I diabetes mellitus; and for CD4 immunohistochemistry on
tissue biopsy samples to identify peripheral T cell lymphoma and related malignant
conditions.
[0064] However, the present invention is not limited on the use of the HER2/
neu-specific or CD4-specific DARPins but refers to recombinant AAV vector particles which
display high-affinity ligands exemplified by cell-type specific DARPin that specifically
transduce any type of target cell or target tissue, which express the respective target
receptor. Thus, the term "therapeutic application" of the present invention does not
only include HER2/
neu- or CD4-associated diseases but also includes the preparation of a medicament comprising
the recombinant AAV vector particles of the present invention for the treatment or
prevention of at least one condition in a subject, wherein the condition is selected
from the group comprising a chronic infection; an inherited monogenetic disease, including
SCID, congenital disease, cystic fibrosis, Gaucher's disease, Huntington's disease,
dysostosis, Hurler's disease, neurofibromatosis, sickle-cell anemia, Tay-Sachs disease,
thalassemia, familial hypercholesterolemia, and fragile X syndrome; a cardiovascular
disease; a neurodegenerative disease; cancer; HIV; Alzheimer disease; Parkinson disease;
diabetes; a neuroinflammatory disease; a rheumatic disease; an autoimmune disease;
adipositas; acute lymphoblastic leukemia; myeloid leukemia; renal carcinoma; and disorders
related to endothelialization or re-endothelialization. In yet another embodiment,
the cancer is selected from the group comprising leukemia, myeloblastic, promyelocytic,
myelomonocytic, monocytic, erythroleukemia, chronic myelocytic (granulocytic) leukemia,
and chronic lymphocytic leukemia, lymphoma, e.g. Hodgkin's disease and non-Hodgkin's
disease, fibrosarcoma, myxosarcoma, liposarcoma, chondrosarcoma, osteogenic sarcoma,
angiosarcoma, endotheliosarcoma, Ewing's tumor, colon carcinoma, pancreatic cancer,
breast cancer, ovarian cancer, prostate cancer, squamous cell carcinoma, basal cell
carcinoma, adenocarcinoma, renal cell carcinoma, hepatoma, Wilms' tumor, cervical
cancer, uterine cancer, testicular tumor, lung carcinoma, small cell lung carcinoma,
bladder carcinoma, epithelial carcinoma, glioma, astrocytoma, oligodendroglioma, melanoma,
neuroblastoma, retinoblastoma, dysplasia and hyperplasia, prostate cancer, prostatitis,
benign prostatic hypertrophy, benign prostatic hyperplasia (BPH), prostatic paraganglioma,
prostate adenocarcinoma, prostatic intraepithelial neoplasia, prostato-rectal fistulas,
and atypical prostatic stromal lesions.
[0065] Furthermore, the term "therapeutic application" includes gene therapy for the treatment
or prevention of at least one of the conditions of above, wherein the term "gene therapy"
can be broadly defined as the concept of directed introduction of foreign genetic
material into a cell, tissue or organ for correction of defective genes with the goal
to improve the clinical status of a patient. As used herein, the term "gene therapy"
only refers to "somatic therapy" and not to "germ line therapy", which would induce
heritable changes passed from generation to generation, wherein the somatic therapy
restricts the therapeutic effect to the treated individual. The somatic therapy of
the present invention can be further discriminated by a fast and easy to perform direct
gene transfer to the organism ("
in vivo") or a sophisticated but more specific and controllable gene transfer to explanted
cells or tissues ("
ex vivo" or "
in vitro")
, which are re-implanted after treatment. Thus, the recombinant AAV vector particle
of the present invention is administered
in vivo, i.e. systemically, or
ex vivo
[0066] However, as the AAV capsid protein VP2 is not essential for capsid assembly, the
"recombinant AAV vector particle preparations" of the present invention may consist
of DARPin-proficient and, in exceptional, undesirable cases, of DARPin-deficient particles.
The "DARPin-proficient particles" represent the "recombinant AAV vector particles"
of the present invention as described above, wherein the latter, i.e. the "DARPin-deficient
particles" are distinguished from these "recombinant AAV vector particles" or rather
"DARPin-proficient particles" in that their differences to the AAV wild-type particle
are based on features (a), (c) and (d) only. Thus, the DARPin-deficient particles
are composed of the AAV capsid proteins VP1 and VP3, which are ablated in binding
to the natural receptor, e.g. HSPG, however, are deficient in the DARPin-VP2 fusion
protein (feature (b)), i.e. the targeting ligand. Although non-infectious
in vitro, DARPin-deficient particles may transduce off-target tissue, such as heart and lung
tissue, although they are deficient in binding to their natural receptor and do not
comprise the DARPin-VP2 fusion protein ("off-targeting", Example 5, Fig. 1 c, Fig.
6). Thus, in a preferred embodiment of the present invention, a removable His-tag
is fused to the N-terminal end of the DARPin-VP2 fusion protein of feature (b) and
incorporated into the recombinant AAV vector particles of the present invention ("recombinant
AAV vector particles
His"), such as into Her2-AAV particles ("Her2-AAV
His"), in order to reduce off-targeting effects, wherein the recombinant AAV vector particles
His, such as Her2-AAV
His, can be eluted in distinct fractions using His-tag purification methods, such as
the column purification as described in Example 1, wherein the His-tag can be removed
after purification by enzymatic cleavage. These purified recombinant AAV vector particles
His, such as purified Her2-AAV
His vector particles, are able to transduce exclusively target cells or rather target
tissue, such as tumor tissue rather than heart and lung tissue e.g. upon intravenous
injection into tumor bearing subjects, such as mammals.
[0067] In summary, the present invention refers to a recombinant AAV vector particle or
rather DARPin-proficient particle, wherein the differences to the AAV wild-type particle
are based on features (a) to (d). In contrast, the recombinant AAV vector particle
itself contains features (a), (b) and (d) only, which means that the mutated VP2-start
codon (feature (c)) is not present in the recombinant AAV vector particle but represents
a necessary feature for generation the differences of the recombinant AAV vector particle
to the AAV wild-type particle. Thus, the present invention claims a "recombinant AAV
vector particle, wherein the differences to the AAV wild-type particle are based on
the following features: (a), (b), (c), and (d)".
[0068] More specifically, the recombinant AAV vector particles of the present invention
are generated using the adenovirus-helper free AAV packaging strategy (
Xiao, X. et al., J. Virol., 1998, 72, 2224-2232), wherein the methods for the construction and generation of the recombinant AAV
vector particles of the present invention are mainly based on a transfection method,
which requires the use of:
- (i) a vector plasmid comprising the at least one packaged transgene, as described
in feature (a),
- (ii) a plasmid encoding the DARPin-VP2 fusion protein ("pDARPin-VP2"), wherein VP2
comprises the mutations in the VP2-start codon and in the essential binding site as
described in features (c) and (d), and wherein a removable His-tag is optionally fused
to the N-terminal end of the DARPin-VP2 fusion protein,
- (iii) an AAV helper plasmid, preferably "pRCVP2koA", encoding for AAV non-structural
proteins, preferably viral Rep proteins (preferably the non-structural Rep proteins
Rep78, Rep68, Rep52, Rep40) and AAP (assembly activating protein), and for the capsid
proteins VP1, VP2 and VP3, wherein the AAV helper plasmid comprises the mutation in
the VP2 start codon and in the essential natural receptor binding site as described
in features (c) and (d), and
- (iv) at least one Ad helper plasmid, preferably "pXX6", encoding for genes possessing
Ad helper functions, preferably for E2A, E4 and VA RNA genes.
[0069] In more detail, by using the vector plasmid of step (i), the therapeutically active
product and/or the marker/reporter protein is provided as vector genome, by using
the plasmid pDARPin-VP2 of step (ii), the DARPin-VP2 fusion protein, comprising the
mutated capsid protein VP2 and the cell-type specific DARPin, is expressed, wherein
the expression of the capsid protein VP2 wild-type ("unmodified VP2") is inhibited;
by using the AAV helper plasmid of step (iii), the viral Rep proteins, preferably
the non-structural Rep proteins Rep78, Rep68, Rep52, Rep40, AAP, and the capsid proteins
VP1 and VP3 are expressed, wherein VP1 and VP3 are not able to bind to the natural
receptor; by using the at least one Ad helper plasmid of step (iv), proteins possessing
Ad helper functions are expressed.
[0070] Thus, in a preferred embodiment of the present invention, the recombinant AAV vector
particles are produced by co-transfection of a human cell line, preferably HEK-293,
with the vector plasmid as mentioned in (i), the plasmid pDARPin-VP2 as mentioned
in (ii), the AAV helper plasmid, preferably pRCVP2koA, as mentioned in (iii), and
the at least one Ad helper plasmid, preferably pXX6, as mentioned in (iv), wherein
these plasmids are preferably mixed in an equimolar ratio with a cationic polymer,
preferably polyethylene-imine (PEI) or poly-I-lysine, more preferably PEI, for use
as attachment promoter, transfection reagent or for CO
2 capture, as previously described for lentiviral vectors (
Anliker, B., et al., Nat. Meth., 2010, 7, 929-935). 48 hours after transfection, cells are harvested, pelleted by centrifugation and
lysed. Cell lysate is treated by Benzonase (Sigma), pre-cleared by low speed centrifugation
and subjected to iodixonal density gradient centrifugation as described previously
(
Boucas, J. et al., J. Gene Med., 2009, 11, 1103-1113). Vectors or rather vector particles can contain a self-complementary or single stranded
vector genome conformation.
[0071] Moreover, the recombinant AAV vector particle negative control, preferably using
AAV of serotype 2 and then designated as "AAV-2" or "AAV-2 particles", is also generated
using the adenovirus-helper free AAV packaging strategy (
Xiao, X. et al., J. Virol., 1998, 72, 2224-2232). Thus, preferably HEK-293 cells are co-transfected with the plasmids pXX6, pRC (
Girod, A. et al., Nat. Meth., 1999, 1052-1056) and the at least one vector plasmid as mentioned in (i), wherein these plasmids
are preferably mixed in an equimolar ratio with a cationic polymer, preferably polyethylene-imine
(PEI) or poly-I-lysine, more preferably PEI. 48 hours after transfection, cells are
harvested, pelleted by centrifugation and lysed. Cell lysate is treated by Benzonase
(Sigma), pre-cleared by low speed centrifugation and subjected to iodixonal density
gradient centrifugation. All vectors or rather vector particles can contain a self-complementary
or single-stranded vector genome conformation.
[0072] In a more preferred embodiment of the present invention, the construction and generation
of the plasmid "pDARPin-VP2" is based on the targeting construct pGFP-VP2 (
Lux, K. et al., J. Virol., 2005, 79, 11776-11787) encoding the VP2 protein fused to EGFP at its N-terminus, wherein the VP2 start
codon is mutated, preferably by point mutation, as described in feature (c). Thus,
the construction and generation of the plasmid "pDARPin-VP2" is based on:
- (1) substituting the EGFP-coding sequence for that of the cell-type specific DARPin
of the present invention in pGFP-VP2 in order to produce the DARPin-VP2 fusion protein,
wherein a removable His-tag can be optionally fused to the N-terminal end of the DARPin-VP2
fusion protein.
- (2) ablating the binding of the capsid protein VP2 to its natural receptor in the
DARPin-VP2 fusion protein, as described in feature (d).
Example 1: Methods
[0073] DARPin coding sequences. The nucleotide sequences of the CD4-specific DARPins 3.1, 23.2, 27.2, 29.2, 55.2
and 57.2 originate from Schweizer, A. et al., PLoS Pathog., 2008, 4, e1000109 and
the EMBL Nucleotide Sequence Data Base (www.ebi.ac.uk/embl) and, thus, are available
under the accession numbers AM997261, AM997265, AM997267, AM997268, AM997269, and
AM997270, respectively (direction 5' → 3').
DARPin 3.1 - AM997261

DARPin 23.2 - AM997265

DARPin 27.2 - AM997267

DARPin 29.2 - AM997268


DARPin 55.2 - AM997269

DARPin 57.2 - AM997270

[0074] The nucleotide sequences of the HER2/
neu-specific DARPin 9.29, 9.26, 9.16, 9.01, H14R, and G3 originate from
Steiner, D. et al., J. Mol. Biol., 2008, 382, 1211-1227 and
Münch, R. C. et al., Mol. Ther., 2011, 19, 686-693 (direction 5' → 3').
DARPin 9.01

DARPin 9.16


DARPin 9.26

DARPin 9.29

DARPin H14R

DARPin G3

[0075] Plasmids. DARPin coding sequences were amplified by PCR using the primer pairs A1-for and A1-rev
or A2-for and A2-rev, and were inserted into the plasmid pGFP-VP2 by sticky end ligation
using Agel and BsrGl restriction sites:
A1-for: 5'-GGAAGGACCGGTATGGACCTGGGTAAGAAACTG-3',
A1-rev: 5'-CCCGGCCCTGTACAGATTAAGCTTTTGCAGGATTTC-3',
A2-for:

A2-rev: 5'-CCCGGCCCTGTACAGATTAAGCTTTTGCAGGATTTC-3'
[0076] In order to ablate natural HSPG-binding of AAV-2 capsids, R585 and R588 coding residues
were mutated to alanine by site-directed mutagenesis (
Boucas, J. et al., J. Gene Med., 2009, 11, 1103-1113). Three different AAV vector plasmids were generated (scLUC, scGFP and scHSV-TK).
Briefly, the coding sequences for firefly luciferase GL4 (primer pair L1-for and L1-rev),
for the spleen focus forming virus (SFFV) promoter (primer pair S1-for and S1-rev)
were amplified by PCR:
L1-for:

L1-rev: 5'-GCCTCGAGCGGCCGCTTTACACGGCGATCTTGC-3',
S1-for:

S1-rev: 5'-AATGTCCGCGGTACCCAGCCCCGGGCGACTCAGTCAATC-3'.
[0077] Fragments were inserted into scAAV/EGFP (
Hacker, U. T. et al., J. Gene Med., 2005, 7, 1429-1438) by sticky end ligation at SpeI/NotI or SpeI/KpnI restriction sites, respectively,
resulting in scLUC and scGFP. The HSV-TK coding sequence (
Funke, S. et al., Mol. Ther., 2008, 16, 1427-1436; was inserted into scLUC using the primer pair H1-for and H1-rev and restriction
sites SacII/NotI:
HSV-TK coding sequence (direction 5' → 3')


H1-for:

H1-rev: 5'-GCCTCGAGCGGCCGCTTCAGTTAGCCTCCCCCATCTC-3'.
[0078] The primer pair HSV-TK-for and HSV-TK-rev are used for the qPCR, for titration of
HSV-TK-transferring AAV particles:
HSV-TK-for: 5'-GCAGCAAGAAGCCACGGAAG-3',
HSV-TK-rev: 5'-CCAGCAGTTGCGTGGTGGTG-3'.
[0079] The primer pairs GFP-for/GFP-rev and luc-for/luc-rev are used for the qPCR, for titration
of the vectors:
GFP-for: 5'-GCTACCCCGACCACATGAAG-3',
GFP-rev:5'-GTCCATGCCGAGAGTGATCC-3',
luc-for: 5'-TTCGGCTGGCAGAAGCTATG-3',
luc-rev: 5'-GCTCGCGCTCGTTGTAGATG-3'.
[0080] Vector particle production. Recombinant Her2-AAV vector particles and AAV-2 were generated using the adenovirus-helper
free AAV packaging strategy followed by step gradient centrifugation (
Boucas, J. et al., J. Gene Med., 2009, 11, 1103-1113;
Anliker, B., et al., Nat. Meth., 2010, 7, 929-935). For production of the recombinant Her2-AAV vector particles, HEK-293 cells were
transfected with plasmids pXX6, pRCVP2koA, pDARPin-VP2 and the at least one vector
plasmid in an equimolar ratio mixed with polyethylene-imine (PEI) as previously described
for lentiviral vectors (
Anliker, B., et al., Nat. Meth., 2010, 7, 929-935). For production of AAV-2, which served as control, HEK-293 cells were transfected
with plasmids pXX6, pRC (
Girod, A. et al., Nat. Meth., 1999, 1052-1056) and the vector plasmid. 48 hours after transfection cells were harvested, pelleted
by centrifugation and lysed. Cell lysate was treated by Benzonase (Sigma), pre-cleared
by low speed centrifugation and subjected to iodixonal density gradient centrifugation
as described previously (
Boucas, J. et al., J. Gene Med., 2009, 11, 1103-1113). All vectors contained a self-complementary vector genome conformation. However,
vectors can also be packaged with a single-stranded vector genome.
[0081] Determination of genomic and capsid titers. Genomic particle titers were determined as described previously (
Boucas, J. et al., J. Gene Med., 2009, 11, 1103-1113) using primers specific for each transgene (Supplementary Table 1). Capsid titers
were determined using an ELISA-based assay. AAV vector preparations were coated on
Maxisorp immunoplates (Nunc, Wiesbaden, Germany) and detected with an anti-AAV-2-capsid
antibody (A20, 1:4 diluted in PBS containing 3% BSA, 5% sucrose, 0.05% Tween20; Progen,
Heidelberg, Germany). Subsequently, plates were incubated with a donkey anti-mouse
biotin-conjugated antibody (1:25,000 in PBS containing 3% BSA, 5% sucrose, 0.05% Tween20;
Jackson ImmunoResearch, Suffolk, United Kingdom) and HRP-conjugated streptavidin (1:500
in PBS containing 3% BSA, 5% sucrose, 0.05% Tween20; Dianova, Hamburg, Germany). Upon
addition of TMB-liquid substrate (Sigma, Hamburg, Germany) according to the manufactures'
instruction, the reaction product was quantified at 450 nm wavelength.
[0082] Western Blot. 2x10
10 genomic particles of iodixanol purified AAV vectors were separated on 8% SDS PAGE
and then transferred to nitrocellulose membrane (Amersham Biosciences, Freiburg, Germany).
The AAV capsid proteins were detected using the AAV capsid protein specific antibody
B1 (
Wobus, C. E. et al., J. Virol., 2000, 74, 9281-9293) and secondary anti-mouse peroxidase-conjugated antibodies (Dianova, Hamburg, Germany).
Signals were visualized by enhanced chemiluminescense using ECL Plus Western Blotting
Detection System (GE Healthcare, Munich, Germany).
[0083] DARPin surface display ELISA. Serial dilutions of Her2-AAV
myc and AAV-2 were bound to ELISA-plates coated with a myc-tag specific antibody (Abcam,
Cambridge, United Kingdom). Bound vector particles were quantified using the AAV-2
capsid specific antibody A20 (Progen, Heidelberg, Germany). Subsequent detection was
carried out as described under the capsid ELISA section.
[0084] Electron microscopy. Formvar-carbon coated 300-mesh copper grids were placed on a suspension drop containing
iodixanol gradient purified Her2-AA
myc or AAV-2 and anti-myc monoclonal antibody (diluted 1:100 in PBS) for 1 hour at room
temperature. After washing twice with PBS, the grid was incubated for 30 minutes with
10 nm gold-labeled secondary anti-mouse antibody diluted 1:100 in PBS. Subsequently,
grids were washed five times with ddH2O and stained for 15 seconds in 2% aqueous uranyl
acetate. Samples were examined in an EM109 transmission electron microscope (Zeiss,
Jena, Germany). Representative gold-labeled particles at a magnification of x 140,000
are shown. Scale bar corresponds to 50 nm.
[0085] Competition assay. AAV-EGFP vector preparations were incubated for one hour at 4°C with increasing
amounts of the entire HER2/
neu receptor extracellular domain (Sino Biological, Beijing, China). Following incubation,
SK-OV-3 cells were transduced. After 48 h, the percentage of EGFP-positive cells was
determined by flow cytometry.
[0086] Column purification of Her2-AAV. Iodixanol gradient purified Her2-AAV
His preparations were further purified through nickel column affinity chromatography.
AAV-preparations were loaded to affinity columns at flow rates of 0.1 ml/mn diluted
in binding buffer (20 mM imidazole, 20 mM sodium phosphate and 0.5 M NaCl pH 7.4).
Columns were washed with 10 column volumes binding buffer, and eluted using step gradient
elution (20-500 mM imidazole, 20 mM sodium phosphate and 0.5 M NaCl pH 7.4). Peak
fractions were detected using absorbance reading at 280 nm and verified by dot-blot
and Western-Blot analysis. Peak fractions were dialyzed.
[0087] In vivo analysis of Her2-AAV. Experimental mouse work was carried out in compliance with the German animal protection
law. For biodistribution analysis, six to eight week old Beige nude mice (Harlan Laboratories,
Eystrup, Germany) were engrafted subcutaneously with SK-OV-3 tumor cells as described
previously (
Münch, R. C. et al., Mol. Ther., 2011, 19, 686-693). AAV-2 and Her2-AAV particles were injected systemically through the tail vein and
luciferase signals were detected by
in vivo imaging one week post injection. For tumor killing experiments, SK-OV-3 cell derived
tumor bearing mice received a single intravenous injection of (GOI=8x10
11) AAV-HSV-TK or Her2-AAV-HSV-TK, respectively. From two days after vector application
on, mice received a daily intraperitoneal injection of GCV (100 mg/kg body weight)
for seven consecutive days. Tumor size was determined every three days using calipers.
[0088] The level of ALT in blood was determined using the VETTEST-8008-system (IDEXX, Ludwigsburg,
Germany) in accordance with the manufacturer's instructions.
[0089] For histology, organ or tumor tissue was fixed in 4% formalin for six days, paraffin
embedded and 3 µm slices were stained with haematoxylin and eosin.
[0090] For
in vivo imaging, mice were intraperitoneally injected with 150 mg D-Luciferin/kg body weight
(Caliper Life Sciences, Mainz, Germany) and anesthetized. Imaging data were obtained
10 minutes after substrate injection using a noninvasive cooled charged-coupled device
(IVIS Spectrum; Caliper Life Sciences). Data were analyzed using the Living Image
Software (Caliper Life Sciences).
[0091] Statistics. Data were analyzed using the unpaired two-tailed t-test. Survival curves were analyzed
by the Kaplan-Meier log-rank test. P ≤ 0.05 was taken to be significant. Graph Pad
Prism 5 provided the software for statistical analysis.
Example 2: Monitoring of in vitro and in vivo transduction
[0092] To monitor in vitro and in vivo transduction, the cDNA for EGFP and firefly luciferase
(luc-2) was packaged. All genes had been placed under the control of the strong and
ubiquitously active spleen focus forming virus (SSFV) promoter (
Baum, C. et al., J. Virol., 1995, 69, 7541-7547). Their efficient packaging into Her2-AAV particles as well as incorporation of the
DARPin-VP2 fusion protein was confirmed (Fig.1 b and 1 c). Furthermore, as demonstrated
by ELISA and electron microscopy, DARPin molecules were efficiently displayed on the
surface of AAV particles and accessible for binding partners (Fig. 1 d and 1 e).
Example 3: Evaluation of the targeting potential of the recombinant AAV vector particles
[0093] To evaluate the targeting potential of DARPin-AAV vector particles, the gene delivery
into a panel of target receptor-positive and -negative cell types was assessed. Specifically,
the gene delivery into HER2/
neu-negative Chinese hamster ovarian cells (CHO), the CHO cell line CHO Her2-k6, which
stably expresses HER2/
neu, and into the ovarian cancer cell line SK-OV-3, naturally over-expressing HER2/
neu (
Münch, R. C. et al., Mol. Ther., 2011, 19, 686-693), was assessed. Stocks of Her2-AAV particles reached averages titers of 2 x 10
8 t.u./ml on HER2/
neupositive SK-OV-3 cells, which was about 30-fold less than for AAV-2 particles. Her2-AAV
particles were also capable of efficiently transducing CHO-Her2-k6 cells, whereas
transduction of HER2/
neu-negative CHO-K1 cells remained at background levels, even when a high vector dose
was applied (Fig. 2a). The transduction efficiency of Her2-AAV particles correlated
with the HER2/
neu-receptor density on target cells (Fig. 2c) and was independent of HSPG, as indicated
by the intensity to competition with heparin, the soluble analogue of HSPG (Fig. 2a).
In contrast, AAV-2-mediated transduction was completely blocked by heparin (Fig. 2a).
The HER2/
neu-specificity of Her2-AAV was further demonstrated by inhibiting transduction with
the soluble extracellular domain of the HER2/
neu-receptor (Fig. 2b). To evaluate the targeting capacity of Her2-AAV particles for
highly underrepresented target cells, a series of cell mixtures comprising defined
ratios of CHO-Her2-k6 and CHO-K1 cells was transduced. Her2-AAV particles transduced
more than 50% of the target cell population even when representing only 5% of the
total cell number, further indicating the high level of specificity (Fig. 2c).
Example 4: Evaluation of the targeting capacity of recombinant AAV vector particle
comprising the HER2/neu-specific DARPin
[0094] The Luciferase-expression was used to evaluate the targeting capacity of Her2-AAV
in vivo. To this end, it has been demonstrated that Her2-AAV particles carrying the luc-2
expression cassette were capable of discriminating between HER2/
neu-positive and -negative cells
in vivo. The vectors were then injected into the tail vein of nude mice carrying subcutaneous
SK-OV-3 tumors. Luciferase expression was regularly analyzed using charged-coupled
device imaging. By day seven, Her2-AAV-injected mice showed strong luciferase activity
confined on the tumor (Fig. 5a). In sharp contrast, no signal was detectable in the
tumors of AAV-2-injected mice, which instead showed prominent signals in the liver
(Fig. 5a). Quantification of the luciferase activities in organ lysates confirmed
the imaging data. Luciferase expression in the tumor tissue of Her2-AAV-injected animals
exceeded the activities elsewhere in the body by at least 20-fold (Fig. 1e). In contrast,
AAV-2-injected mice produced the most prominent signal in the liver, while the tumor
tissue emitted signals just above background. Luciferase activity, however, depends
on transgene expression. In order to assess, if the targeting strategy also re-directed
particle distribution to the target tissue, the AAV genome copy numbers in tumor and
non-target cells has been quantified. AAV-2 particles accumulated mainly in the liver,
which contained more than 100-fold more genome copies than the tumor tissue. All other
tested organs contained at least 10-fold more vector particles than the tumor tissue.
The distribution of Her2-AAV genome copies was completely different. Here, tumor tissue
contained between 10- (kidney) to 100-fold (liver) more genome copies than the other
organs (Fig. 5b). Thus, relative to liver, Her2-AAV particles were by more than four
orders of magnitude more efficient in targeting the tumor tissue than AAV-2 particles.
This extent of targeting tissue and efficiency upon systemic administration is remarkable
and has not been described before for any non-enveloped viral vector.
Example 5: Complete restriction of AAV vector tropism by separation of DARPin-proficient
and DARPin-deficient particles
[0095] As VP2 is not essential for capsid assembly, it has been hypothesized that Her2-AAV
vector preparations consist of DARPin-proficient and -deficient particles. The latter
are composed of VP1 and VP3, are deficient in HSPG binding and lack the targeting
ligand. This hypothesis is supported by the weaker band of DARPin-VP2 detected for
Her2-AAV (and Her2-AAV
HSPG+) compared to VP2 for AAV-2 detected by Western Blot (Fig. 1 c). Although non-infectious
in vitro, AAV vectors deficient in HSPG binding have been reported to transduce heart and to
a lower extend lung tissue following intravenous injection. In order to evaluate whether
the weak signals observed in the chest region are caused by DARPin-deficient particles
in Her2-AAV stocks, AAV-2
ΔHSPG in comparison to Her2-AAV preparations have been injected into SK-OV-3 bearing mice.
In AAV-2
ΔHSPG treated animals luciferase signals were confined to the chest region, whereas Her2-AAV
mediated signals again were clearly located at the tumor site (Fig. 6). These findings
suggest that the weak off-targeting signals in the chest region observed in mice injected
with Her2-AAV are indeed caused by DARPin-deficient particles. To reduce these off-targeting
effects, a His-tag was fused to the N-terminal end of the DARPin-VP2 fusion construct
and incorporated into Her2-AAV particles (Her2-AAV
His). Her2-AA V
His particles revealed enhanced binding affinity to nickel based affinity chromatography
columns as compared to DARPin-deficient particles displaying no His-tag. Dot-Blot
and Western-Blot analysis of elution fractions from His-Trap-HP-columns confirmed
that DARPin-deficient particles did not bind to Ni-columns, whereas Her2-AAV
His could be eluted in distinct fractions (Fig. 7). These purified Her2-AAV vector particles
are able to transduce HER2/
neu-positive cells, distinguish between HER2/
neu-positive and -negative cells, and are expected to exclusively transduce tumor tissue
upon intravenous injection into tumor bearing mice.
Example 6: Demonstration of the tumor cell killing by recombinant AAV vector particle comprising the HER2/neu-specific DARPin
[0096] So far, lack of specificity has impaired the use of recombinant AAV vector particles
for suicide gene induced tumor cell killing. To demonstrate that Her2-AAV particles
are suitable for tumor cell killing following systemic vector delivery and significantly
contributes to vector safety, Her2-AAV particles have been equipped with the Herpes
simplex thymidine kinase (HSV-TK), which converts ganciclovir (GCV) into cytotoxic
compounds (
Raty, J. K. et al., Curr. Mol. Pharmacol., 2008, 1, 13-23).
In vitro, this vector - in contrast to AAV-2 - killed HER2/
neu-positive cell lines in a GCV dose-dependent manner while HER2/
neu-negative cells remained unaffected (Fig.
8). In vivo, a single systemic injection of Her2-AAV particles into tumor-bearing mice was sufficient
to significantly delay tumor growth, while the tumor volume of AAV-2-treated animals
increased at the same rate as tumors in control animals (Fig. 5c and Fig. 3). Of note,
although the tumors of AAV-2-injected mice were still far below the critical size,
half of these animals developed liver failure, substantial weight loss and had to
be sacrificed within the first days of GCV-treatment (N=6, P=0,05; Logrank test) (Fig.
9a and Fig. 9b) Further investigations of these mice revealed elevated serum transaminase
(ALT) levels (Fig. 5d) and massive acute multifocal central lobular necrosis as typically
induced by hepatotoxins (Fig. 5e and Fig. 9).
Example 7: Demonstration of the anti-HIV-treatment by recombinant AAV vector particle
comprising the CD4-specific DARPin
[0097] Besides tumor-associated antigens, cellular components of the blood are desired targets
for gene transfer. Of particular interest for anti-HIV treatment strategies are CD4
T lymphocytes. Therefore, DARPin 55.2 has been chosen, which is specific for human
CD4 (
Schweizer, A. et al., PLoS Pathog., 2008, 4, e1000109), to further assess the potency of the new targeting platform of the present invention.
CD4-AAV particles were cloned and produced as EGFP-expressing vector as described
for Her2-AAV particles. Incorporation of DARPin 55.2 as DARPin-VP2 fusion protein
was confirmed by Western Blot (data not shown). Next, the target cell specificity
of CD4-AAV particles has been assessed in comparison to AAV-2 particles. AAV-2 particles
transduced CD4-positive and -negative cells with similar efficiency. In contrast,
CD4-AAV particles solely transduced CD4-positive A3.01 T cells (Fig. 10). No EGFP
expression was detectable in CD4-negative cell lines. These findings indicate that
combining high affinity receptor binding conferred by DARPins with natural receptor
ablation completely restricts the tropism of AAV to a receptor of choice.